2种预防宫腔镜手术后宫腔再粘连方法的对比分析.docVIP

2种预防宫腔镜手术后宫腔再粘连方法的对比分析 　　 　　[摘要] 目的 对比分析Bakri球囊及Interceed防粘连膜用于中-重度宫腔粘连宫腔镜手术后预防再粘连的治疗效果。 方法 选择2010年６月~2013年6月佛山市禅城区中心医院妇科中-重度宫腔粘连患者105例为研究对象，将其分为Bakri球囊组（42例）、Interceed防粘连膜组（43例）及对照组（20例）。Bakri球囊组使用Bakri球囊管+戊酸雌二醇（E2V）+宫内节育器（IUD）；Interceed组使用Interceed防粘连膜+E2V+IUD；对照组使用E2V+IUD。术后观察宫腔粘连、月经及子宫内膜恢复情况。 结果 Bakri球囊组和Interceed防粘连膜组的总有效率都达到100.0%，均高于对照组（80.0%），差异有统计学意义（P 0.05），其中，Interceed防粘连膜组的显著率达到37.2%，高于Bakri球囊组（26.2%），差异有统计学意义（P 0.05）。Bakri球囊组月经恢复正常者32例（76.2%），Interceed防粘连膜组月经恢复正常者34例（79.1%），对照组月经恢复正常者11例（55.0%），差异有统计学意义（P 0.05）。 结论 Interceed防粘连膜更适用于宫腔镜手术后宫腔粘连的预防，且无影响月经恢复的副作用。 　　[关键词] 宫腔粘连；球囊；防粘连膜；节育器 　　[中图分类号] R713.4[文献标识码] B[文章编号] 1673-7210（2014）05（a）-0144-04 　　 　　The analysis of two kinds of methods in prevention of intrauterine adhesions after hysteroscopic surgery 　　WU Yan SHEN Bairu GAO Zubiao YANG Chenggang ZHANG Yinghui XU Sihui ZENG Manhua 　　Department of Obstetrics and Gynecology, Chancheng District Central Hospital of Foshan City, Guangdong Province, Foshan 528000, China 　　[Abstract] Objective To compare and analyze the effect of Bakri balloon and Interceed anti adhesion membranes on the prevention of intrauterine adhesions after hysteroscope operation among patients with moderate to severe intrauterine adhesions. Methods 105 cases of moderate to severe intrauterine adhesions from June 2010 to June 2013 in Chancheng District Central Hospital of Foshan City were selected as study objects, and they were randomly divided into three groups: control group (20 cases), Bakri balloon group (42 cases) and Interceed anti adhesion membranes group (43 cases). Patients of control group were treated with E2V+IUD, Bakri balloon group were treated with Bakri balloon+E2V+IUD and the Interceed anti adhesion membranes group were treated with Interceed anti adhesion membranes+E2V+IUD. And the intrauterine adhesions, menstruation and endometrial recovery were tested. Results The effective rate of Bakri balloon group and Interceed anti adhesion membranes group reach